Dysuria is a condition in which urine is retained in the bladder and cannot be excreted smoothly. The main causes of dyspareunia are mechanical lower urinary tract obstruction and neurological lesions. For the treatment of dyspareunia, the first step is to identify the cause. The causes of dyspareunia due to lower urinary tract obstruction include bladder stones, prostate hyperplasia, prostate cancer, cystoscopic fibrosis, urethral stones, urethral stricture, etc. For obstructive causes of dyspareunia, it is necessary to remove the obstruction in a timely manner, and temporary solutions can be indwelling catheterization, cystocentesis fistula to drain urine. In most cases, the specific cause of the obstruction needs to be identified and treated surgically. The neurological causes include absence of reflexes in the forceps urinaryis, ? synergistic dysfunction of the forced urinary sphincter, resulting in weak bladder contraction, bladder paralysis, etc., which causes difficulty in urination. In this case, it is necessary to further clarify the cause to do targeted treatment or long-term indwelling catheter. In summary, the treatment of male urinary difficulties, first need to clarify the specific cause, and then do targeted treatment, if the acute urinary retention can be retained first catheter or cystocentesis fistula, drainage of urine.